REP09298

• Permit No: C1980005
• IBM Index Class Name: Report
• Doc Date: 3/28/1995
• Doc Name: APPENDIX G WPDES DISCHARGE MONITORING REPORTS
• Permit Index Doc Type: HYDROLOGY REPORT
• Media Type: D
• Archive: No

PERMITTEE NAME/ADDRESS llns'ludr
f aciliry hlme (os •f n ! Aifl~~ff~rr(II{I
NAME_ ~Lt. YrEY l-Uf.L LG (JLNLIn 11)~___
ADDRESS 131.V :,GUIII YALh
___ FLhv:iTAFf --------AZ dSuJ1 _
FACILITY _ _ 7~ _ _ _ _
LOCATION 1 j~e O W \YCJC C~wl/LOLti
S=~_-
hIlII: .. , rfieaIL'cNT
NATIONAL POLLUTANT DI6CHApGE ELIMINATION ST6TEM (IJ NDF.S 1
DISCHARGE MONITORING REPORT (I)rVRI
(b161 117-191
CUU~vuG[ lrt.d A
PERMIT NUMBER oI.cH411cL RVM•rp
MONITORING PERIOD
YEAR MO DAY YEA MO DAY
FROM TO
lIO~IU (1''111 (14-151 I16~171 (18.191 (10-11!
11LNl: it
(v U u h N W) FotiWAlfjilljved.
Y - FINAL onne No. 2oao-oooa
ut5Ct1ANGE ylproyah$~dihf1~30-Y4NEl;K
'%'r'^ NU L`I5CHafiGE ~ _~ #~v
NOTE: Read instructions before completing this form.
(1 CerJ Onlp/ Q ANTITT OR LOADING M CaN Only) DUALITY OR CONCENTRATION

PARAMETER
(46-5J1 (i4-bll
(J8~451 Mb-S.il (i4-611
No. FREIXIENCY
aF
SAMPLE
E% TYPE
(71-.171 wNALYSIS
AVERAGE MA %IMUM UNITS MINIMUM AVERAGE MAXIMUM UNITS fe$~ll (e4~681 f69~101
1'f ~. ~.ys}I,::i :i44;-%e ..: ',:;. y:i ~:.( ( 12)

SAMPLE
MEASUREMENT

7
~5 ~ I

e

O I
e Gw
VV`lVU 1 V U PEP.MIT If'I ~~ O~ ''~::'I': 6• ;° +TS 9• HE>rKL GRAB
k.FFLULNl UIIUSS YALN REQUIREMENT i'+is.:if dINI[1Ulf 17AYit1UH SU
SAMPLE
MEASUREMENT l O r`]
I q
(l f .~•~
'
•( `
r
J S I c G L c i
`+
V ~`
G
uVJ~u 1 U u r ~. >f • ~a:z,: [' ' :~ ;CI ON(
L/ GRAB
PERMIT .
..
cFYLUed'1 ~HU~S YALU REQUIREMENT zl;:;:;; 3UDA AVG DAILY d MG/L dOHT
i,1L ANU l;ncASE .~: :, L7- -r;,., :. ;;I,:;-:,.,; ;, / ~: ;Yy,Y:; ( I )

-G
t
'
.
' SAMPLE
EASUREMENT
O
G
ds:Uh t. Y
i h
NAV H
:
1 M y\
L V S:.rD 1 t: J >f •i i ~ %.s iY;: : y•f . ' li U GU ~P G A
PERMIT
tFt'LUcNi l;HO5S VALU REQUIREMENT r;•T:;: INST dA M
G/L GENT
11 H SAMPLE
MEASUREMENT iv 4.;s:J4=. ,':,ss:,::f,s :fs1~::,:;t:,: ~1Y
o01/Tq
c~.~~ /
\ I9)
o
~3
1UlAL tsl:t.GYbhnULt: p
l/Vy()U 1 i) G PERMIT ~~~ I • ~ •
• E
cFt'~UISNT GfiUSS VALU EQUIREMENT :~#Y>z 30DA AY LY'M
DAI tlG/L lfON?

'
d SAMPLE
EASUREMENT ~ /~
O
a
dU lhttll P, t. NT rLAil
:,uUSJ 1 U li t T UpTl NAL ~ ~ ti %' u3 ~ ~xta# YBEKL iBSTA
PERMIT .
~FFLUEbT GNU:iS YALU EQUIREHENT 3GUA AVG GAILY P1Y deli ##4+a ~d.;;.-
uT SAMPLE
AS
M r ~ -^~ [ ~~ +r ~ (~`
D
' // L
'~
LIS~GLYCU ENT
ME
URE ODD ~( o v ~~ v
~E
7G1y5 1 u U ~~•f OPT UBAL 8BP08T pTBLY '.
6BAB:'
PERMIT . ,
1.FiLUdN1 t;NO:iS YALU EQUIREMENr YFif:FC QdTR AV .DAILY d HG/L
GIL AnU UhtA~E SAMPLE -'a~~'I ( 94) :•a#a+xa #A:3i#>Jr w~>X+~~
I
MEASUREMENT ~ Q /~ V
YI:iUAL t~a
t1`luob 1 u U + ~ cS=1 .I ri~~~ K
PERMIT
tFF'l.UEhT Gh055 YALU EOUIREMENT INST HAY NL7=G r. ###~ '
NAME/TITLE PRINCIPAL E%ECU7IVE OFFICER I cERTIFr UNDER PENALTr of Lww THAT I HAVE PERSONALLY ExaMINED TELEPHONE D A T E
ANO AM FAMILIwq WITH TFIE rNFORMwTION SUBMITTED HEREW AND BwSED
L~~~
Q tr~.~s C -~~ ON MY INfjURY OF TIgSE INgVIDUwLS rMMEOIwTELY RESFUNSIBLE FOR
OBTGWING THE INFOgMATIDN I BELIEVE THE SUBMITTED rNFORMATION IS
) TRUE. eCCI1RAiE AND COMPLETE I AM AWARE TI14T THERE LRE
\
l
~
V 51GNIFIt ANi PENALTIES FCQ SUBMIT IINL FALSE INFORMATION INCLULYNG
" lv /
0 `
p THE POSSIRILITV of FINE AND MPRISONMENT SEE IR use { fool AND
' SIGNATURE OF PRIM IPAL EXECUTIVE ~ 6

TYP OR PRINTED ss u% 1 I]19 IR:n.llues unJrr Ornr L.rmsrs ru~y u¢IUJe Irna up I°
f141MM1 anJ nr mnrmum uMriwwmcm el benrcn d monrhs .nJ S tars/
OFFICER OR AU ORIZED AGENT AREA
NUMBER
YEAR
MO DAT
COMMENT AND E%PLANATION OF ANY VIOLATIONS (Rr/'ercnee ell ~IfnehmrnU beset
~1L 6 Gh~c--SeE FUC1'NJ1L r'/, reG6 ~. (iN1'tiLY SAH~NG 1tI5TYiUC'lIUN5--FUUI'NGTE D/.